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Quality Reporting

The American Recovery and Reinvestment Act of 2009 and subsequent legislation, including the HITECH Act of 2010, provide monetary incentives to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic medical records (EMR) or electronic health records (EHR).

The key goals of the program are to:

  • Improve the quality, safety, coordination and efficiency of patient care
  • Keep patients and their families informed and engaged
  • Ensure adequate privacy and security protections for patient health information
  • Improve clinical outcomes for individuals
  • Reduce disparities in patient care
  • Promote the overall health of the American public

In order to receive incentive payments, you must demonstrate meaningful use of EMR technology that has been tested and certified by an Office of the National Coordinator (ONC) Authorized Testing and Certification Body (ATCB).

GE’s Centricity™ Practice Solution has been certified by the CCHIT (Certification Commission on Health IT) and the ONC-ATCB as a qualified EMR/EMS product.

How is Meaningful Measured?

In order to satisfy the Meaningful Use tests, EPs must meet criteria in two separate categories: core and menu. There are a total of 15 core criteria, each of which must be successfully met (unless an exclusion applies). EPs must also satisfy at least 5 measures from a menu of 10 additional criteria.

Core Criteria
  1. Use computerized physician order entry (CPOE).
  2. Implement drug-drug and drug-allergy interaction checks.
  3. Generate and transmit permissible prescriptions electronically.
  4. Record demographics.
  5. Maintain an up-to-date problem list of current and active diagnoses.
  6. Maintain active medication list.
  7. Maintain active medication allergy list.
  8. Record and chart changes in vital signs.
  9. Record smoking status for patients 13 years old or older.
  10. Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with the rule.
  11. Report ambulatory clinical quality measures.
  12. Provide patients with an electronic copy of their health information upon request.
  13. Provide clinical summaries for patients for each office visit.
  14. Be capable of exchanging key clinical information.
  15. Protect electronic health information created or maintained by the certified EHR technology.
Menu Criteria
  1. Implement drug-formulary checks.
  2. Incorporate clinical lab-test results as structured data.
  3. Generate lists of patients by specific conditions.
  4. Send reminders to patients for preventive/follow-up care.
  5. Provide patients with timely electronic access to their health information.
  6. Use certified EHR technology to identify patient-specific education resources.
  7. Perform medication reconciliation.
  8. Provide summary care record for each transition of care and referral.
  9. Be capable of submitting electronic data to immunization registries.*
  10. Be capable of submitting electronic syndromic surveillance data.*

* Items 9 and 10 are required.

How Can I Qualify for Incentive Payments?

Eligible professionals qualify for incentive payments by successfully demonstrating meaningful use of certified EHR technology.

  • Each EP is only eligible for one incentive payment per year, regardless of the number of practices or locations at which he or she provides services.
  • EPs eligible for both the Medicare and Medicaid EHR Incentive Programs must choose which incentive program they wish to participate in when they register. Professionals eligible to participate in the Medicare EHR Incentive Programinclude doctors of medicine, osteopathy, dental surgery, dental medicine, podiatry, and optometry, as well as chiropractors. Professionals eligible to participate in the Medicaid EHR Incentive Program include doctors of medicine and osteopathy, nurse practitioners, certified nurse-midwives, dentists and select physicians’ assistants. Before 2015, an EP may switch programs only once after the first incentive payment is initiated.

How Do I Register?

Every EP should have an active National Provider Identifier (NPI) and a National Plan and Provider Enumeration System (NPPES) web user account. To register for meaningful use incentives, log in to NPPES and select the program in which you’d like to participate. You’ll need to provide your business address, email address, SSN and Tax Identification Number (TIN) in order to receive payments.

  • If you are an EP who does not have an NPI and/or an NPPES web user account, you may apply for one through the NPPES website.

How Do I Attest?

Once you’ve determined your eligibility and registered with the NPPES, use your registration number to log into the Medicare & Medicaid EHR Incentive Program Registration & Attestation System. Be sure you have all of your materials ready for the attestation process! For more about the type of information you’ll need to have prepared, read the CMS Attestation User Guide.